Fostering Scholarship in CPD: - MedEdWorld

54
Dave Davis, MD and Mary Turco, EdD AMEE MedEdWorld Webinar Thursday 5 October 2017 Fostering Scholarship in CPD: Building a Scholarly and Outcomes Oriented Interest in Continuing Professional Development in the Health Professions

Transcript of Fostering Scholarship in CPD: - MedEdWorld

Dave Davis MD and Mary Turco EdD

AMEE MedEdWorld Webinar

Thursday 5 October 2017

Fostering Scholarship in CPDBuilding a Scholarly and Outcomes Oriented

Interest in Continuing Professional Development in the Health Professions

Introductions

Dave Davis MD FCFP FSACMEProfessor and Senior Director Medical Education Mohammed Bin Rashid University of Medicine and Health Sciences Dubai United Arab Emirates

Mary Turco EdD FSACMEAssistant Professor Education Outcomes Researcher and Consultant Dartmouth-Hitchcock and Geisel School of Medicine at Dartmouth Lebanon NH USA

Disclosure

We have no financial disclosures

We will mention the resources of the Society for Academic Continuing Medical Education (SACME) of which we are both members We personally derive no personal financial gain from these publications

Agenda

bull Challenge Goal and Objectives

bull Reflection Whatrsquos your interest in scholarship

bull Scholarship Definitions

bull Your Examples of Scholarship

bull Stimulating Faculty Interest and Expertise

bull Barriers to Scholarship and Solutions to overcome them

bull Two Cases

bull Resources

bull Take Home PointsFuture Directions

bull Questions ideas discussion

bull References

Challenge Goal and Objectives

Challenge While CPD (CME) is critical to understanding and effecting best outcomes in healthcare relatively few faculty members embrace the research and practical potential that it holds for improving medical education

Goal Build a Scholarly and Outcomes Oriented Interest in Continuing Professional Development in the Health Professions

Objectives After participating in this activity you should be able to describe and discuss

1 Scholarship definitions and criteria

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD at local and national levels

3 Case Studies on barriers and opportunities

4 Resources

Reflection Whatrsquos your interest in scholarship

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions and criteria

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Ernest Boyerrsquos Scholarship Categories

1990

DiscoveryResearch

IntegrationSynthesis

ApplicationPractice

Teaching

ldquoNeed hellip a more inclusive view of what it means to

be a scholarmdasha recognition that knowledge is acquired

through research through synthesis through

practice and through teachingrdquo

1995

Engagement

ldquoNew realities with the application of new knowledge to real problems engagementrdquo

McNabb J Pawlyshyn N Northeastern University Online 2014 Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf

Scholarship of DiscoveryResearch

Definitions

bull Search for new knowledge

bull Discovery of new information models

ldquothe commitment to knowledge for its

own sake to freedom of inquiryrdquo

Examples

bull Research projects (internally or externally funded)

bull Working papers

bull Peer-reviewed journal articles

bull Book chapters andor books

bull Creative activity Compositions presentations performances exhibits and projects

Scholarship of Integration

Definitions

bull Integrating knowledge from different sources

bull Presenting overview of findings

bull Discovering convergence from different disciplines

bull Identifying trends

ldquoBringing insight to bear on original researchrdquo with ldquointerpretive integrative interdisciplinary approachesrdquo

Examples

bull Professional development workshops

bull Literature reviews

bull Presentations of research at conferences

bull Non-academic publications that address

discipline-related concerns

bull Meta-analysis - contrasting or combining

results from different studies

Scholarship of Application

Definitions

bull Discovering ways to use new knowledge andor theory to solve real world problems

ldquoNew intellectual problems can arise out of the very act of applicationrdquo

ldquoHigher education must serve the interests of

the larger communityrdquohellip

Examples

bull Faculty consulting activities in field or industry

related to intellectual work

bull Faculty support or development of community

activities in field or industry linked with academic

discipline

bull Faculty development andor oversight of

practicalpartnerships on behalf of University that

connect students with fieldindustry

bull Faculty development of centers for study or service

Scholarship of Teaching

Definitions

bull Searching for best practices and innovations to disseminate knowledge and develop skills attitudes and behaviors

bull Informal or formal teaching advising mentoring

ldquoFaculty as scholars are also learnersrdquo

ldquoTeaching is the highest form of understandingrdquo -

Aristotle

Examples

bull Development of new or substantially revised courses curricula

bull Innovative teaching materialsstrategies

bull Publication of textbooks or teaching materials

bull Educational research projects resulting in findings disseminated at professional conferences andor in peer-reviewed publications

bull Projects funded by external or internal grants to support instructional activities

bull Production of Instruction Videos

bull Technical procedural or practical innovations made clinically or professionally

Scholarship of Engagement

Definition

ldquoThe scholarship of engagement means connecting the rich resources of the university to our most pressing social civic and ethical problems to our children to our schools to our teachers to our citiesrdquo

Ernest Boyerrsquos (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

Boyer Ernest L The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33

URL httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

Beyond Boyerrsquos Categories Digital Scholarship

Definition

bull The use of digital evidence methods of inquiry research publication and preservation to achieve scholarly and research goals

bull An open model for scholarly communication

Rumsey A ldquoNew-model scholarly communication Road map for changerdquo Scholarly Communication Institute 9 July 2011 University of Virginia Library

Examples

bull Blogscommentaries as communication in virtual spaces

bull Open Education Resources

bull Data visualization and manipulation

bull Metadata generation

bull Digital publishing

Your Examples of Scholarship

After reviewing this list let us know some specific examples of scholarship in Continuing Professional Development happening in your organization Are theyDiscoveryResearch IntegrationSynthesisApplicationPracticeTeachingEngagementDigital

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Why stimulate faculty interest and expertise

To help them think act teach learn and act differently

A Tale of Two Centuries

httpwwwtheartstoryorgartist-orozco-jose-

clemente-artworkshtm

Julio Frenk MD MPH PhDJose Clemente Orozco

httpswwwgooglecomsearchq=julio+frenk+md+photoamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwjDv5-egMPWAhVS3mMKHU9UCwcQ7AkIRAampbiw=1586ampbih=689imgrc=61tjGAQ-3FBRLMampspf=1506434089860

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Introductions

Dave Davis MD FCFP FSACMEProfessor and Senior Director Medical Education Mohammed Bin Rashid University of Medicine and Health Sciences Dubai United Arab Emirates

Mary Turco EdD FSACMEAssistant Professor Education Outcomes Researcher and Consultant Dartmouth-Hitchcock and Geisel School of Medicine at Dartmouth Lebanon NH USA

Disclosure

We have no financial disclosures

We will mention the resources of the Society for Academic Continuing Medical Education (SACME) of which we are both members We personally derive no personal financial gain from these publications

Agenda

bull Challenge Goal and Objectives

bull Reflection Whatrsquos your interest in scholarship

bull Scholarship Definitions

bull Your Examples of Scholarship

bull Stimulating Faculty Interest and Expertise

bull Barriers to Scholarship and Solutions to overcome them

bull Two Cases

bull Resources

bull Take Home PointsFuture Directions

bull Questions ideas discussion

bull References

Challenge Goal and Objectives

Challenge While CPD (CME) is critical to understanding and effecting best outcomes in healthcare relatively few faculty members embrace the research and practical potential that it holds for improving medical education

Goal Build a Scholarly and Outcomes Oriented Interest in Continuing Professional Development in the Health Professions

Objectives After participating in this activity you should be able to describe and discuss

1 Scholarship definitions and criteria

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD at local and national levels

3 Case Studies on barriers and opportunities

4 Resources

Reflection Whatrsquos your interest in scholarship

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions and criteria

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Ernest Boyerrsquos Scholarship Categories

1990

DiscoveryResearch

IntegrationSynthesis

ApplicationPractice

Teaching

ldquoNeed hellip a more inclusive view of what it means to

be a scholarmdasha recognition that knowledge is acquired

through research through synthesis through

practice and through teachingrdquo

1995

Engagement

ldquoNew realities with the application of new knowledge to real problems engagementrdquo

McNabb J Pawlyshyn N Northeastern University Online 2014 Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf

Scholarship of DiscoveryResearch

Definitions

bull Search for new knowledge

bull Discovery of new information models

ldquothe commitment to knowledge for its

own sake to freedom of inquiryrdquo

Examples

bull Research projects (internally or externally funded)

bull Working papers

bull Peer-reviewed journal articles

bull Book chapters andor books

bull Creative activity Compositions presentations performances exhibits and projects

Scholarship of Integration

Definitions

bull Integrating knowledge from different sources

bull Presenting overview of findings

bull Discovering convergence from different disciplines

bull Identifying trends

ldquoBringing insight to bear on original researchrdquo with ldquointerpretive integrative interdisciplinary approachesrdquo

Examples

bull Professional development workshops

bull Literature reviews

bull Presentations of research at conferences

bull Non-academic publications that address

discipline-related concerns

bull Meta-analysis - contrasting or combining

results from different studies

Scholarship of Application

Definitions

bull Discovering ways to use new knowledge andor theory to solve real world problems

ldquoNew intellectual problems can arise out of the very act of applicationrdquo

ldquoHigher education must serve the interests of

the larger communityrdquohellip

Examples

bull Faculty consulting activities in field or industry

related to intellectual work

bull Faculty support or development of community

activities in field or industry linked with academic

discipline

bull Faculty development andor oversight of

practicalpartnerships on behalf of University that

connect students with fieldindustry

bull Faculty development of centers for study or service

Scholarship of Teaching

Definitions

bull Searching for best practices and innovations to disseminate knowledge and develop skills attitudes and behaviors

bull Informal or formal teaching advising mentoring

ldquoFaculty as scholars are also learnersrdquo

ldquoTeaching is the highest form of understandingrdquo -

Aristotle

Examples

bull Development of new or substantially revised courses curricula

bull Innovative teaching materialsstrategies

bull Publication of textbooks or teaching materials

bull Educational research projects resulting in findings disseminated at professional conferences andor in peer-reviewed publications

bull Projects funded by external or internal grants to support instructional activities

bull Production of Instruction Videos

bull Technical procedural or practical innovations made clinically or professionally

Scholarship of Engagement

Definition

ldquoThe scholarship of engagement means connecting the rich resources of the university to our most pressing social civic and ethical problems to our children to our schools to our teachers to our citiesrdquo

Ernest Boyerrsquos (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

Boyer Ernest L The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33

URL httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

Beyond Boyerrsquos Categories Digital Scholarship

Definition

bull The use of digital evidence methods of inquiry research publication and preservation to achieve scholarly and research goals

bull An open model for scholarly communication

Rumsey A ldquoNew-model scholarly communication Road map for changerdquo Scholarly Communication Institute 9 July 2011 University of Virginia Library

Examples

bull Blogscommentaries as communication in virtual spaces

bull Open Education Resources

bull Data visualization and manipulation

bull Metadata generation

bull Digital publishing

Your Examples of Scholarship

After reviewing this list let us know some specific examples of scholarship in Continuing Professional Development happening in your organization Are theyDiscoveryResearch IntegrationSynthesisApplicationPracticeTeachingEngagementDigital

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Why stimulate faculty interest and expertise

To help them think act teach learn and act differently

A Tale of Two Centuries

httpwwwtheartstoryorgartist-orozco-jose-

clemente-artworkshtm

Julio Frenk MD MPH PhDJose Clemente Orozco

httpswwwgooglecomsearchq=julio+frenk+md+photoamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwjDv5-egMPWAhVS3mMKHU9UCwcQ7AkIRAampbiw=1586ampbih=689imgrc=61tjGAQ-3FBRLMampspf=1506434089860

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Disclosure

We have no financial disclosures

We will mention the resources of the Society for Academic Continuing Medical Education (SACME) of which we are both members We personally derive no personal financial gain from these publications

Agenda

bull Challenge Goal and Objectives

bull Reflection Whatrsquos your interest in scholarship

bull Scholarship Definitions

bull Your Examples of Scholarship

bull Stimulating Faculty Interest and Expertise

bull Barriers to Scholarship and Solutions to overcome them

bull Two Cases

bull Resources

bull Take Home PointsFuture Directions

bull Questions ideas discussion

bull References

Challenge Goal and Objectives

Challenge While CPD (CME) is critical to understanding and effecting best outcomes in healthcare relatively few faculty members embrace the research and practical potential that it holds for improving medical education

Goal Build a Scholarly and Outcomes Oriented Interest in Continuing Professional Development in the Health Professions

Objectives After participating in this activity you should be able to describe and discuss

1 Scholarship definitions and criteria

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD at local and national levels

3 Case Studies on barriers and opportunities

4 Resources

Reflection Whatrsquos your interest in scholarship

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions and criteria

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Ernest Boyerrsquos Scholarship Categories

1990

DiscoveryResearch

IntegrationSynthesis

ApplicationPractice

Teaching

ldquoNeed hellip a more inclusive view of what it means to

be a scholarmdasha recognition that knowledge is acquired

through research through synthesis through

practice and through teachingrdquo

1995

Engagement

ldquoNew realities with the application of new knowledge to real problems engagementrdquo

McNabb J Pawlyshyn N Northeastern University Online 2014 Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf

Scholarship of DiscoveryResearch

Definitions

bull Search for new knowledge

bull Discovery of new information models

ldquothe commitment to knowledge for its

own sake to freedom of inquiryrdquo

Examples

bull Research projects (internally or externally funded)

bull Working papers

bull Peer-reviewed journal articles

bull Book chapters andor books

bull Creative activity Compositions presentations performances exhibits and projects

Scholarship of Integration

Definitions

bull Integrating knowledge from different sources

bull Presenting overview of findings

bull Discovering convergence from different disciplines

bull Identifying trends

ldquoBringing insight to bear on original researchrdquo with ldquointerpretive integrative interdisciplinary approachesrdquo

Examples

bull Professional development workshops

bull Literature reviews

bull Presentations of research at conferences

bull Non-academic publications that address

discipline-related concerns

bull Meta-analysis - contrasting or combining

results from different studies

Scholarship of Application

Definitions

bull Discovering ways to use new knowledge andor theory to solve real world problems

ldquoNew intellectual problems can arise out of the very act of applicationrdquo

ldquoHigher education must serve the interests of

the larger communityrdquohellip

Examples

bull Faculty consulting activities in field or industry

related to intellectual work

bull Faculty support or development of community

activities in field or industry linked with academic

discipline

bull Faculty development andor oversight of

practicalpartnerships on behalf of University that

connect students with fieldindustry

bull Faculty development of centers for study or service

Scholarship of Teaching

Definitions

bull Searching for best practices and innovations to disseminate knowledge and develop skills attitudes and behaviors

bull Informal or formal teaching advising mentoring

ldquoFaculty as scholars are also learnersrdquo

ldquoTeaching is the highest form of understandingrdquo -

Aristotle

Examples

bull Development of new or substantially revised courses curricula

bull Innovative teaching materialsstrategies

bull Publication of textbooks or teaching materials

bull Educational research projects resulting in findings disseminated at professional conferences andor in peer-reviewed publications

bull Projects funded by external or internal grants to support instructional activities

bull Production of Instruction Videos

bull Technical procedural or practical innovations made clinically or professionally

Scholarship of Engagement

Definition

ldquoThe scholarship of engagement means connecting the rich resources of the university to our most pressing social civic and ethical problems to our children to our schools to our teachers to our citiesrdquo

Ernest Boyerrsquos (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

Boyer Ernest L The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33

URL httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

Beyond Boyerrsquos Categories Digital Scholarship

Definition

bull The use of digital evidence methods of inquiry research publication and preservation to achieve scholarly and research goals

bull An open model for scholarly communication

Rumsey A ldquoNew-model scholarly communication Road map for changerdquo Scholarly Communication Institute 9 July 2011 University of Virginia Library

Examples

bull Blogscommentaries as communication in virtual spaces

bull Open Education Resources

bull Data visualization and manipulation

bull Metadata generation

bull Digital publishing

Your Examples of Scholarship

After reviewing this list let us know some specific examples of scholarship in Continuing Professional Development happening in your organization Are theyDiscoveryResearch IntegrationSynthesisApplicationPracticeTeachingEngagementDigital

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Why stimulate faculty interest and expertise

To help them think act teach learn and act differently

A Tale of Two Centuries

httpwwwtheartstoryorgartist-orozco-jose-

clemente-artworkshtm

Julio Frenk MD MPH PhDJose Clemente Orozco

httpswwwgooglecomsearchq=julio+frenk+md+photoamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwjDv5-egMPWAhVS3mMKHU9UCwcQ7AkIRAampbiw=1586ampbih=689imgrc=61tjGAQ-3FBRLMampspf=1506434089860

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Agenda

bull Challenge Goal and Objectives

bull Reflection Whatrsquos your interest in scholarship

bull Scholarship Definitions

bull Your Examples of Scholarship

bull Stimulating Faculty Interest and Expertise

bull Barriers to Scholarship and Solutions to overcome them

bull Two Cases

bull Resources

bull Take Home PointsFuture Directions

bull Questions ideas discussion

bull References

Challenge Goal and Objectives

Challenge While CPD (CME) is critical to understanding and effecting best outcomes in healthcare relatively few faculty members embrace the research and practical potential that it holds for improving medical education

Goal Build a Scholarly and Outcomes Oriented Interest in Continuing Professional Development in the Health Professions

Objectives After participating in this activity you should be able to describe and discuss

1 Scholarship definitions and criteria

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD at local and national levels

3 Case Studies on barriers and opportunities

4 Resources

Reflection Whatrsquos your interest in scholarship

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions and criteria

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Ernest Boyerrsquos Scholarship Categories

1990

DiscoveryResearch

IntegrationSynthesis

ApplicationPractice

Teaching

ldquoNeed hellip a more inclusive view of what it means to

be a scholarmdasha recognition that knowledge is acquired

through research through synthesis through

practice and through teachingrdquo

1995

Engagement

ldquoNew realities with the application of new knowledge to real problems engagementrdquo

McNabb J Pawlyshyn N Northeastern University Online 2014 Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf

Scholarship of DiscoveryResearch

Definitions

bull Search for new knowledge

bull Discovery of new information models

ldquothe commitment to knowledge for its

own sake to freedom of inquiryrdquo

Examples

bull Research projects (internally or externally funded)

bull Working papers

bull Peer-reviewed journal articles

bull Book chapters andor books

bull Creative activity Compositions presentations performances exhibits and projects

Scholarship of Integration

Definitions

bull Integrating knowledge from different sources

bull Presenting overview of findings

bull Discovering convergence from different disciplines

bull Identifying trends

ldquoBringing insight to bear on original researchrdquo with ldquointerpretive integrative interdisciplinary approachesrdquo

Examples

bull Professional development workshops

bull Literature reviews

bull Presentations of research at conferences

bull Non-academic publications that address

discipline-related concerns

bull Meta-analysis - contrasting or combining

results from different studies

Scholarship of Application

Definitions

bull Discovering ways to use new knowledge andor theory to solve real world problems

ldquoNew intellectual problems can arise out of the very act of applicationrdquo

ldquoHigher education must serve the interests of

the larger communityrdquohellip

Examples

bull Faculty consulting activities in field or industry

related to intellectual work

bull Faculty support or development of community

activities in field or industry linked with academic

discipline

bull Faculty development andor oversight of

practicalpartnerships on behalf of University that

connect students with fieldindustry

bull Faculty development of centers for study or service

Scholarship of Teaching

Definitions

bull Searching for best practices and innovations to disseminate knowledge and develop skills attitudes and behaviors

bull Informal or formal teaching advising mentoring

ldquoFaculty as scholars are also learnersrdquo

ldquoTeaching is the highest form of understandingrdquo -

Aristotle

Examples

bull Development of new or substantially revised courses curricula

bull Innovative teaching materialsstrategies

bull Publication of textbooks or teaching materials

bull Educational research projects resulting in findings disseminated at professional conferences andor in peer-reviewed publications

bull Projects funded by external or internal grants to support instructional activities

bull Production of Instruction Videos

bull Technical procedural or practical innovations made clinically or professionally

Scholarship of Engagement

Definition

ldquoThe scholarship of engagement means connecting the rich resources of the university to our most pressing social civic and ethical problems to our children to our schools to our teachers to our citiesrdquo

Ernest Boyerrsquos (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

Boyer Ernest L The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33

URL httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

Beyond Boyerrsquos Categories Digital Scholarship

Definition

bull The use of digital evidence methods of inquiry research publication and preservation to achieve scholarly and research goals

bull An open model for scholarly communication

Rumsey A ldquoNew-model scholarly communication Road map for changerdquo Scholarly Communication Institute 9 July 2011 University of Virginia Library

Examples

bull Blogscommentaries as communication in virtual spaces

bull Open Education Resources

bull Data visualization and manipulation

bull Metadata generation

bull Digital publishing

Your Examples of Scholarship

After reviewing this list let us know some specific examples of scholarship in Continuing Professional Development happening in your organization Are theyDiscoveryResearch IntegrationSynthesisApplicationPracticeTeachingEngagementDigital

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Why stimulate faculty interest and expertise

To help them think act teach learn and act differently

A Tale of Two Centuries

httpwwwtheartstoryorgartist-orozco-jose-

clemente-artworkshtm

Julio Frenk MD MPH PhDJose Clemente Orozco

httpswwwgooglecomsearchq=julio+frenk+md+photoamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwjDv5-egMPWAhVS3mMKHU9UCwcQ7AkIRAampbiw=1586ampbih=689imgrc=61tjGAQ-3FBRLMampspf=1506434089860

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Challenge Goal and Objectives

Challenge While CPD (CME) is critical to understanding and effecting best outcomes in healthcare relatively few faculty members embrace the research and practical potential that it holds for improving medical education

Goal Build a Scholarly and Outcomes Oriented Interest in Continuing Professional Development in the Health Professions

Objectives After participating in this activity you should be able to describe and discuss

1 Scholarship definitions and criteria

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD at local and national levels

3 Case Studies on barriers and opportunities

4 Resources

Reflection Whatrsquos your interest in scholarship

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions and criteria

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Ernest Boyerrsquos Scholarship Categories

1990

DiscoveryResearch

IntegrationSynthesis

ApplicationPractice

Teaching

ldquoNeed hellip a more inclusive view of what it means to

be a scholarmdasha recognition that knowledge is acquired

through research through synthesis through

practice and through teachingrdquo

1995

Engagement

ldquoNew realities with the application of new knowledge to real problems engagementrdquo

McNabb J Pawlyshyn N Northeastern University Online 2014 Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf

Scholarship of DiscoveryResearch

Definitions

bull Search for new knowledge

bull Discovery of new information models

ldquothe commitment to knowledge for its

own sake to freedom of inquiryrdquo

Examples

bull Research projects (internally or externally funded)

bull Working papers

bull Peer-reviewed journal articles

bull Book chapters andor books

bull Creative activity Compositions presentations performances exhibits and projects

Scholarship of Integration

Definitions

bull Integrating knowledge from different sources

bull Presenting overview of findings

bull Discovering convergence from different disciplines

bull Identifying trends

ldquoBringing insight to bear on original researchrdquo with ldquointerpretive integrative interdisciplinary approachesrdquo

Examples

bull Professional development workshops

bull Literature reviews

bull Presentations of research at conferences

bull Non-academic publications that address

discipline-related concerns

bull Meta-analysis - contrasting or combining

results from different studies

Scholarship of Application

Definitions

bull Discovering ways to use new knowledge andor theory to solve real world problems

ldquoNew intellectual problems can arise out of the very act of applicationrdquo

ldquoHigher education must serve the interests of

the larger communityrdquohellip

Examples

bull Faculty consulting activities in field or industry

related to intellectual work

bull Faculty support or development of community

activities in field or industry linked with academic

discipline

bull Faculty development andor oversight of

practicalpartnerships on behalf of University that

connect students with fieldindustry

bull Faculty development of centers for study or service

Scholarship of Teaching

Definitions

bull Searching for best practices and innovations to disseminate knowledge and develop skills attitudes and behaviors

bull Informal or formal teaching advising mentoring

ldquoFaculty as scholars are also learnersrdquo

ldquoTeaching is the highest form of understandingrdquo -

Aristotle

Examples

bull Development of new or substantially revised courses curricula

bull Innovative teaching materialsstrategies

bull Publication of textbooks or teaching materials

bull Educational research projects resulting in findings disseminated at professional conferences andor in peer-reviewed publications

bull Projects funded by external or internal grants to support instructional activities

bull Production of Instruction Videos

bull Technical procedural or practical innovations made clinically or professionally

Scholarship of Engagement

Definition

ldquoThe scholarship of engagement means connecting the rich resources of the university to our most pressing social civic and ethical problems to our children to our schools to our teachers to our citiesrdquo

Ernest Boyerrsquos (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

Boyer Ernest L The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33

URL httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

Beyond Boyerrsquos Categories Digital Scholarship

Definition

bull The use of digital evidence methods of inquiry research publication and preservation to achieve scholarly and research goals

bull An open model for scholarly communication

Rumsey A ldquoNew-model scholarly communication Road map for changerdquo Scholarly Communication Institute 9 July 2011 University of Virginia Library

Examples

bull Blogscommentaries as communication in virtual spaces

bull Open Education Resources

bull Data visualization and manipulation

bull Metadata generation

bull Digital publishing

Your Examples of Scholarship

After reviewing this list let us know some specific examples of scholarship in Continuing Professional Development happening in your organization Are theyDiscoveryResearch IntegrationSynthesisApplicationPracticeTeachingEngagementDigital

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Why stimulate faculty interest and expertise

To help them think act teach learn and act differently

A Tale of Two Centuries

httpwwwtheartstoryorgartist-orozco-jose-

clemente-artworkshtm

Julio Frenk MD MPH PhDJose Clemente Orozco

httpswwwgooglecomsearchq=julio+frenk+md+photoamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwjDv5-egMPWAhVS3mMKHU9UCwcQ7AkIRAampbiw=1586ampbih=689imgrc=61tjGAQ-3FBRLMampspf=1506434089860

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Reflection Whatrsquos your interest in scholarship

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions and criteria

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Ernest Boyerrsquos Scholarship Categories

1990

DiscoveryResearch

IntegrationSynthesis

ApplicationPractice

Teaching

ldquoNeed hellip a more inclusive view of what it means to

be a scholarmdasha recognition that knowledge is acquired

through research through synthesis through

practice and through teachingrdquo

1995

Engagement

ldquoNew realities with the application of new knowledge to real problems engagementrdquo

McNabb J Pawlyshyn N Northeastern University Online 2014 Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf

Scholarship of DiscoveryResearch

Definitions

bull Search for new knowledge

bull Discovery of new information models

ldquothe commitment to knowledge for its

own sake to freedom of inquiryrdquo

Examples

bull Research projects (internally or externally funded)

bull Working papers

bull Peer-reviewed journal articles

bull Book chapters andor books

bull Creative activity Compositions presentations performances exhibits and projects

Scholarship of Integration

Definitions

bull Integrating knowledge from different sources

bull Presenting overview of findings

bull Discovering convergence from different disciplines

bull Identifying trends

ldquoBringing insight to bear on original researchrdquo with ldquointerpretive integrative interdisciplinary approachesrdquo

Examples

bull Professional development workshops

bull Literature reviews

bull Presentations of research at conferences

bull Non-academic publications that address

discipline-related concerns

bull Meta-analysis - contrasting or combining

results from different studies

Scholarship of Application

Definitions

bull Discovering ways to use new knowledge andor theory to solve real world problems

ldquoNew intellectual problems can arise out of the very act of applicationrdquo

ldquoHigher education must serve the interests of

the larger communityrdquohellip

Examples

bull Faculty consulting activities in field or industry

related to intellectual work

bull Faculty support or development of community

activities in field or industry linked with academic

discipline

bull Faculty development andor oversight of

practicalpartnerships on behalf of University that

connect students with fieldindustry

bull Faculty development of centers for study or service

Scholarship of Teaching

Definitions

bull Searching for best practices and innovations to disseminate knowledge and develop skills attitudes and behaviors

bull Informal or formal teaching advising mentoring

ldquoFaculty as scholars are also learnersrdquo

ldquoTeaching is the highest form of understandingrdquo -

Aristotle

Examples

bull Development of new or substantially revised courses curricula

bull Innovative teaching materialsstrategies

bull Publication of textbooks or teaching materials

bull Educational research projects resulting in findings disseminated at professional conferences andor in peer-reviewed publications

bull Projects funded by external or internal grants to support instructional activities

bull Production of Instruction Videos

bull Technical procedural or practical innovations made clinically or professionally

Scholarship of Engagement

Definition

ldquoThe scholarship of engagement means connecting the rich resources of the university to our most pressing social civic and ethical problems to our children to our schools to our teachers to our citiesrdquo

Ernest Boyerrsquos (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

Boyer Ernest L The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33

URL httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

Beyond Boyerrsquos Categories Digital Scholarship

Definition

bull The use of digital evidence methods of inquiry research publication and preservation to achieve scholarly and research goals

bull An open model for scholarly communication

Rumsey A ldquoNew-model scholarly communication Road map for changerdquo Scholarly Communication Institute 9 July 2011 University of Virginia Library

Examples

bull Blogscommentaries as communication in virtual spaces

bull Open Education Resources

bull Data visualization and manipulation

bull Metadata generation

bull Digital publishing

Your Examples of Scholarship

After reviewing this list let us know some specific examples of scholarship in Continuing Professional Development happening in your organization Are theyDiscoveryResearch IntegrationSynthesisApplicationPracticeTeachingEngagementDigital

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Why stimulate faculty interest and expertise

To help them think act teach learn and act differently

A Tale of Two Centuries

httpwwwtheartstoryorgartist-orozco-jose-

clemente-artworkshtm

Julio Frenk MD MPH PhDJose Clemente Orozco

httpswwwgooglecomsearchq=julio+frenk+md+photoamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwjDv5-egMPWAhVS3mMKHU9UCwcQ7AkIRAampbiw=1586ampbih=689imgrc=61tjGAQ-3FBRLMampspf=1506434089860

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions and criteria

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Ernest Boyerrsquos Scholarship Categories

1990

DiscoveryResearch

IntegrationSynthesis

ApplicationPractice

Teaching

ldquoNeed hellip a more inclusive view of what it means to

be a scholarmdasha recognition that knowledge is acquired

through research through synthesis through

practice and through teachingrdquo

1995

Engagement

ldquoNew realities with the application of new knowledge to real problems engagementrdquo

McNabb J Pawlyshyn N Northeastern University Online 2014 Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf

Scholarship of DiscoveryResearch

Definitions

bull Search for new knowledge

bull Discovery of new information models

ldquothe commitment to knowledge for its

own sake to freedom of inquiryrdquo

Examples

bull Research projects (internally or externally funded)

bull Working papers

bull Peer-reviewed journal articles

bull Book chapters andor books

bull Creative activity Compositions presentations performances exhibits and projects

Scholarship of Integration

Definitions

bull Integrating knowledge from different sources

bull Presenting overview of findings

bull Discovering convergence from different disciplines

bull Identifying trends

ldquoBringing insight to bear on original researchrdquo with ldquointerpretive integrative interdisciplinary approachesrdquo

Examples

bull Professional development workshops

bull Literature reviews

bull Presentations of research at conferences

bull Non-academic publications that address

discipline-related concerns

bull Meta-analysis - contrasting or combining

results from different studies

Scholarship of Application

Definitions

bull Discovering ways to use new knowledge andor theory to solve real world problems

ldquoNew intellectual problems can arise out of the very act of applicationrdquo

ldquoHigher education must serve the interests of

the larger communityrdquohellip

Examples

bull Faculty consulting activities in field or industry

related to intellectual work

bull Faculty support or development of community

activities in field or industry linked with academic

discipline

bull Faculty development andor oversight of

practicalpartnerships on behalf of University that

connect students with fieldindustry

bull Faculty development of centers for study or service

Scholarship of Teaching

Definitions

bull Searching for best practices and innovations to disseminate knowledge and develop skills attitudes and behaviors

bull Informal or formal teaching advising mentoring

ldquoFaculty as scholars are also learnersrdquo

ldquoTeaching is the highest form of understandingrdquo -

Aristotle

Examples

bull Development of new or substantially revised courses curricula

bull Innovative teaching materialsstrategies

bull Publication of textbooks or teaching materials

bull Educational research projects resulting in findings disseminated at professional conferences andor in peer-reviewed publications

bull Projects funded by external or internal grants to support instructional activities

bull Production of Instruction Videos

bull Technical procedural or practical innovations made clinically or professionally

Scholarship of Engagement

Definition

ldquoThe scholarship of engagement means connecting the rich resources of the university to our most pressing social civic and ethical problems to our children to our schools to our teachers to our citiesrdquo

Ernest Boyerrsquos (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

Boyer Ernest L The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33

URL httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

Beyond Boyerrsquos Categories Digital Scholarship

Definition

bull The use of digital evidence methods of inquiry research publication and preservation to achieve scholarly and research goals

bull An open model for scholarly communication

Rumsey A ldquoNew-model scholarly communication Road map for changerdquo Scholarly Communication Institute 9 July 2011 University of Virginia Library

Examples

bull Blogscommentaries as communication in virtual spaces

bull Open Education Resources

bull Data visualization and manipulation

bull Metadata generation

bull Digital publishing

Your Examples of Scholarship

After reviewing this list let us know some specific examples of scholarship in Continuing Professional Development happening in your organization Are theyDiscoveryResearch IntegrationSynthesisApplicationPracticeTeachingEngagementDigital

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Why stimulate faculty interest and expertise

To help them think act teach learn and act differently

A Tale of Two Centuries

httpwwwtheartstoryorgartist-orozco-jose-

clemente-artworkshtm

Julio Frenk MD MPH PhDJose Clemente Orozco

httpswwwgooglecomsearchq=julio+frenk+md+photoamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwjDv5-egMPWAhVS3mMKHU9UCwcQ7AkIRAampbiw=1586ampbih=689imgrc=61tjGAQ-3FBRLMampspf=1506434089860

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Ernest Boyerrsquos Scholarship Categories

1990

DiscoveryResearch

IntegrationSynthesis

ApplicationPractice

Teaching

ldquoNeed hellip a more inclusive view of what it means to

be a scholarmdasha recognition that knowledge is acquired

through research through synthesis through

practice and through teachingrdquo

1995

Engagement

ldquoNew realities with the application of new knowledge to real problems engagementrdquo

McNabb J Pawlyshyn N Northeastern University Online 2014 Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf

Scholarship of DiscoveryResearch

Definitions

bull Search for new knowledge

bull Discovery of new information models

ldquothe commitment to knowledge for its

own sake to freedom of inquiryrdquo

Examples

bull Research projects (internally or externally funded)

bull Working papers

bull Peer-reviewed journal articles

bull Book chapters andor books

bull Creative activity Compositions presentations performances exhibits and projects

Scholarship of Integration

Definitions

bull Integrating knowledge from different sources

bull Presenting overview of findings

bull Discovering convergence from different disciplines

bull Identifying trends

ldquoBringing insight to bear on original researchrdquo with ldquointerpretive integrative interdisciplinary approachesrdquo

Examples

bull Professional development workshops

bull Literature reviews

bull Presentations of research at conferences

bull Non-academic publications that address

discipline-related concerns

bull Meta-analysis - contrasting or combining

results from different studies

Scholarship of Application

Definitions

bull Discovering ways to use new knowledge andor theory to solve real world problems

ldquoNew intellectual problems can arise out of the very act of applicationrdquo

ldquoHigher education must serve the interests of

the larger communityrdquohellip

Examples

bull Faculty consulting activities in field or industry

related to intellectual work

bull Faculty support or development of community

activities in field or industry linked with academic

discipline

bull Faculty development andor oversight of

practicalpartnerships on behalf of University that

connect students with fieldindustry

bull Faculty development of centers for study or service

Scholarship of Teaching

Definitions

bull Searching for best practices and innovations to disseminate knowledge and develop skills attitudes and behaviors

bull Informal or formal teaching advising mentoring

ldquoFaculty as scholars are also learnersrdquo

ldquoTeaching is the highest form of understandingrdquo -

Aristotle

Examples

bull Development of new or substantially revised courses curricula

bull Innovative teaching materialsstrategies

bull Publication of textbooks or teaching materials

bull Educational research projects resulting in findings disseminated at professional conferences andor in peer-reviewed publications

bull Projects funded by external or internal grants to support instructional activities

bull Production of Instruction Videos

bull Technical procedural or practical innovations made clinically or professionally

Scholarship of Engagement

Definition

ldquoThe scholarship of engagement means connecting the rich resources of the university to our most pressing social civic and ethical problems to our children to our schools to our teachers to our citiesrdquo

Ernest Boyerrsquos (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

Boyer Ernest L The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33

URL httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

Beyond Boyerrsquos Categories Digital Scholarship

Definition

bull The use of digital evidence methods of inquiry research publication and preservation to achieve scholarly and research goals

bull An open model for scholarly communication

Rumsey A ldquoNew-model scholarly communication Road map for changerdquo Scholarly Communication Institute 9 July 2011 University of Virginia Library

Examples

bull Blogscommentaries as communication in virtual spaces

bull Open Education Resources

bull Data visualization and manipulation

bull Metadata generation

bull Digital publishing

Your Examples of Scholarship

After reviewing this list let us know some specific examples of scholarship in Continuing Professional Development happening in your organization Are theyDiscoveryResearch IntegrationSynthesisApplicationPracticeTeachingEngagementDigital

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Why stimulate faculty interest and expertise

To help them think act teach learn and act differently

A Tale of Two Centuries

httpwwwtheartstoryorgartist-orozco-jose-

clemente-artworkshtm

Julio Frenk MD MPH PhDJose Clemente Orozco

httpswwwgooglecomsearchq=julio+frenk+md+photoamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwjDv5-egMPWAhVS3mMKHU9UCwcQ7AkIRAampbiw=1586ampbih=689imgrc=61tjGAQ-3FBRLMampspf=1506434089860

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Scholarship of DiscoveryResearch

Definitions

bull Search for new knowledge

bull Discovery of new information models

ldquothe commitment to knowledge for its

own sake to freedom of inquiryrdquo

Examples

bull Research projects (internally or externally funded)

bull Working papers

bull Peer-reviewed journal articles

bull Book chapters andor books

bull Creative activity Compositions presentations performances exhibits and projects

Scholarship of Integration

Definitions

bull Integrating knowledge from different sources

bull Presenting overview of findings

bull Discovering convergence from different disciplines

bull Identifying trends

ldquoBringing insight to bear on original researchrdquo with ldquointerpretive integrative interdisciplinary approachesrdquo

Examples

bull Professional development workshops

bull Literature reviews

bull Presentations of research at conferences

bull Non-academic publications that address

discipline-related concerns

bull Meta-analysis - contrasting or combining

results from different studies

Scholarship of Application

Definitions

bull Discovering ways to use new knowledge andor theory to solve real world problems

ldquoNew intellectual problems can arise out of the very act of applicationrdquo

ldquoHigher education must serve the interests of

the larger communityrdquohellip

Examples

bull Faculty consulting activities in field or industry

related to intellectual work

bull Faculty support or development of community

activities in field or industry linked with academic

discipline

bull Faculty development andor oversight of

practicalpartnerships on behalf of University that

connect students with fieldindustry

bull Faculty development of centers for study or service

Scholarship of Teaching

Definitions

bull Searching for best practices and innovations to disseminate knowledge and develop skills attitudes and behaviors

bull Informal or formal teaching advising mentoring

ldquoFaculty as scholars are also learnersrdquo

ldquoTeaching is the highest form of understandingrdquo -

Aristotle

Examples

bull Development of new or substantially revised courses curricula

bull Innovative teaching materialsstrategies

bull Publication of textbooks or teaching materials

bull Educational research projects resulting in findings disseminated at professional conferences andor in peer-reviewed publications

bull Projects funded by external or internal grants to support instructional activities

bull Production of Instruction Videos

bull Technical procedural or practical innovations made clinically or professionally

Scholarship of Engagement

Definition

ldquoThe scholarship of engagement means connecting the rich resources of the university to our most pressing social civic and ethical problems to our children to our schools to our teachers to our citiesrdquo

Ernest Boyerrsquos (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

Boyer Ernest L The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33

URL httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

Beyond Boyerrsquos Categories Digital Scholarship

Definition

bull The use of digital evidence methods of inquiry research publication and preservation to achieve scholarly and research goals

bull An open model for scholarly communication

Rumsey A ldquoNew-model scholarly communication Road map for changerdquo Scholarly Communication Institute 9 July 2011 University of Virginia Library

Examples

bull Blogscommentaries as communication in virtual spaces

bull Open Education Resources

bull Data visualization and manipulation

bull Metadata generation

bull Digital publishing

Your Examples of Scholarship

After reviewing this list let us know some specific examples of scholarship in Continuing Professional Development happening in your organization Are theyDiscoveryResearch IntegrationSynthesisApplicationPracticeTeachingEngagementDigital

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Why stimulate faculty interest and expertise

To help them think act teach learn and act differently

A Tale of Two Centuries

httpwwwtheartstoryorgartist-orozco-jose-

clemente-artworkshtm

Julio Frenk MD MPH PhDJose Clemente Orozco

httpswwwgooglecomsearchq=julio+frenk+md+photoamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwjDv5-egMPWAhVS3mMKHU9UCwcQ7AkIRAampbiw=1586ampbih=689imgrc=61tjGAQ-3FBRLMampspf=1506434089860

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Scholarship of Integration

Definitions

bull Integrating knowledge from different sources

bull Presenting overview of findings

bull Discovering convergence from different disciplines

bull Identifying trends

ldquoBringing insight to bear on original researchrdquo with ldquointerpretive integrative interdisciplinary approachesrdquo

Examples

bull Professional development workshops

bull Literature reviews

bull Presentations of research at conferences

bull Non-academic publications that address

discipline-related concerns

bull Meta-analysis - contrasting or combining

results from different studies

Scholarship of Application

Definitions

bull Discovering ways to use new knowledge andor theory to solve real world problems

ldquoNew intellectual problems can arise out of the very act of applicationrdquo

ldquoHigher education must serve the interests of

the larger communityrdquohellip

Examples

bull Faculty consulting activities in field or industry

related to intellectual work

bull Faculty support or development of community

activities in field or industry linked with academic

discipline

bull Faculty development andor oversight of

practicalpartnerships on behalf of University that

connect students with fieldindustry

bull Faculty development of centers for study or service

Scholarship of Teaching

Definitions

bull Searching for best practices and innovations to disseminate knowledge and develop skills attitudes and behaviors

bull Informal or formal teaching advising mentoring

ldquoFaculty as scholars are also learnersrdquo

ldquoTeaching is the highest form of understandingrdquo -

Aristotle

Examples

bull Development of new or substantially revised courses curricula

bull Innovative teaching materialsstrategies

bull Publication of textbooks or teaching materials

bull Educational research projects resulting in findings disseminated at professional conferences andor in peer-reviewed publications

bull Projects funded by external or internal grants to support instructional activities

bull Production of Instruction Videos

bull Technical procedural or practical innovations made clinically or professionally

Scholarship of Engagement

Definition

ldquoThe scholarship of engagement means connecting the rich resources of the university to our most pressing social civic and ethical problems to our children to our schools to our teachers to our citiesrdquo

Ernest Boyerrsquos (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

Boyer Ernest L The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33

URL httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

Beyond Boyerrsquos Categories Digital Scholarship

Definition

bull The use of digital evidence methods of inquiry research publication and preservation to achieve scholarly and research goals

bull An open model for scholarly communication

Rumsey A ldquoNew-model scholarly communication Road map for changerdquo Scholarly Communication Institute 9 July 2011 University of Virginia Library

Examples

bull Blogscommentaries as communication in virtual spaces

bull Open Education Resources

bull Data visualization and manipulation

bull Metadata generation

bull Digital publishing

Your Examples of Scholarship

After reviewing this list let us know some specific examples of scholarship in Continuing Professional Development happening in your organization Are theyDiscoveryResearch IntegrationSynthesisApplicationPracticeTeachingEngagementDigital

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Why stimulate faculty interest and expertise

To help them think act teach learn and act differently

A Tale of Two Centuries

httpwwwtheartstoryorgartist-orozco-jose-

clemente-artworkshtm

Julio Frenk MD MPH PhDJose Clemente Orozco

httpswwwgooglecomsearchq=julio+frenk+md+photoamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwjDv5-egMPWAhVS3mMKHU9UCwcQ7AkIRAampbiw=1586ampbih=689imgrc=61tjGAQ-3FBRLMampspf=1506434089860

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Scholarship of Application

Definitions

bull Discovering ways to use new knowledge andor theory to solve real world problems

ldquoNew intellectual problems can arise out of the very act of applicationrdquo

ldquoHigher education must serve the interests of

the larger communityrdquohellip

Examples

bull Faculty consulting activities in field or industry

related to intellectual work

bull Faculty support or development of community

activities in field or industry linked with academic

discipline

bull Faculty development andor oversight of

practicalpartnerships on behalf of University that

connect students with fieldindustry

bull Faculty development of centers for study or service

Scholarship of Teaching

Definitions

bull Searching for best practices and innovations to disseminate knowledge and develop skills attitudes and behaviors

bull Informal or formal teaching advising mentoring

ldquoFaculty as scholars are also learnersrdquo

ldquoTeaching is the highest form of understandingrdquo -

Aristotle

Examples

bull Development of new or substantially revised courses curricula

bull Innovative teaching materialsstrategies

bull Publication of textbooks or teaching materials

bull Educational research projects resulting in findings disseminated at professional conferences andor in peer-reviewed publications

bull Projects funded by external or internal grants to support instructional activities

bull Production of Instruction Videos

bull Technical procedural or practical innovations made clinically or professionally

Scholarship of Engagement

Definition

ldquoThe scholarship of engagement means connecting the rich resources of the university to our most pressing social civic and ethical problems to our children to our schools to our teachers to our citiesrdquo

Ernest Boyerrsquos (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

Boyer Ernest L The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33

URL httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

Beyond Boyerrsquos Categories Digital Scholarship

Definition

bull The use of digital evidence methods of inquiry research publication and preservation to achieve scholarly and research goals

bull An open model for scholarly communication

Rumsey A ldquoNew-model scholarly communication Road map for changerdquo Scholarly Communication Institute 9 July 2011 University of Virginia Library

Examples

bull Blogscommentaries as communication in virtual spaces

bull Open Education Resources

bull Data visualization and manipulation

bull Metadata generation

bull Digital publishing

Your Examples of Scholarship

After reviewing this list let us know some specific examples of scholarship in Continuing Professional Development happening in your organization Are theyDiscoveryResearch IntegrationSynthesisApplicationPracticeTeachingEngagementDigital

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Why stimulate faculty interest and expertise

To help them think act teach learn and act differently

A Tale of Two Centuries

httpwwwtheartstoryorgartist-orozco-jose-

clemente-artworkshtm

Julio Frenk MD MPH PhDJose Clemente Orozco

httpswwwgooglecomsearchq=julio+frenk+md+photoamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwjDv5-egMPWAhVS3mMKHU9UCwcQ7AkIRAampbiw=1586ampbih=689imgrc=61tjGAQ-3FBRLMampspf=1506434089860

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Scholarship of Teaching

Definitions

bull Searching for best practices and innovations to disseminate knowledge and develop skills attitudes and behaviors

bull Informal or formal teaching advising mentoring

ldquoFaculty as scholars are also learnersrdquo

ldquoTeaching is the highest form of understandingrdquo -

Aristotle

Examples

bull Development of new or substantially revised courses curricula

bull Innovative teaching materialsstrategies

bull Publication of textbooks or teaching materials

bull Educational research projects resulting in findings disseminated at professional conferences andor in peer-reviewed publications

bull Projects funded by external or internal grants to support instructional activities

bull Production of Instruction Videos

bull Technical procedural or practical innovations made clinically or professionally

Scholarship of Engagement

Definition

ldquoThe scholarship of engagement means connecting the rich resources of the university to our most pressing social civic and ethical problems to our children to our schools to our teachers to our citiesrdquo

Ernest Boyerrsquos (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

Boyer Ernest L The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33

URL httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

Beyond Boyerrsquos Categories Digital Scholarship

Definition

bull The use of digital evidence methods of inquiry research publication and preservation to achieve scholarly and research goals

bull An open model for scholarly communication

Rumsey A ldquoNew-model scholarly communication Road map for changerdquo Scholarly Communication Institute 9 July 2011 University of Virginia Library

Examples

bull Blogscommentaries as communication in virtual spaces

bull Open Education Resources

bull Data visualization and manipulation

bull Metadata generation

bull Digital publishing

Your Examples of Scholarship

After reviewing this list let us know some specific examples of scholarship in Continuing Professional Development happening in your organization Are theyDiscoveryResearch IntegrationSynthesisApplicationPracticeTeachingEngagementDigital

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Why stimulate faculty interest and expertise

To help them think act teach learn and act differently

A Tale of Two Centuries

httpwwwtheartstoryorgartist-orozco-jose-

clemente-artworkshtm

Julio Frenk MD MPH PhDJose Clemente Orozco

httpswwwgooglecomsearchq=julio+frenk+md+photoamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwjDv5-egMPWAhVS3mMKHU9UCwcQ7AkIRAampbiw=1586ampbih=689imgrc=61tjGAQ-3FBRLMampspf=1506434089860

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Scholarship of Engagement

Definition

ldquoThe scholarship of engagement means connecting the rich resources of the university to our most pressing social civic and ethical problems to our children to our schools to our teachers to our citiesrdquo

Ernest Boyerrsquos (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

Boyer Ernest L The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33

URL httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

Beyond Boyerrsquos Categories Digital Scholarship

Definition

bull The use of digital evidence methods of inquiry research publication and preservation to achieve scholarly and research goals

bull An open model for scholarly communication

Rumsey A ldquoNew-model scholarly communication Road map for changerdquo Scholarly Communication Institute 9 July 2011 University of Virginia Library

Examples

bull Blogscommentaries as communication in virtual spaces

bull Open Education Resources

bull Data visualization and manipulation

bull Metadata generation

bull Digital publishing

Your Examples of Scholarship

After reviewing this list let us know some specific examples of scholarship in Continuing Professional Development happening in your organization Are theyDiscoveryResearch IntegrationSynthesisApplicationPracticeTeachingEngagementDigital

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Why stimulate faculty interest and expertise

To help them think act teach learn and act differently

A Tale of Two Centuries

httpwwwtheartstoryorgartist-orozco-jose-

clemente-artworkshtm

Julio Frenk MD MPH PhDJose Clemente Orozco

httpswwwgooglecomsearchq=julio+frenk+md+photoamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwjDv5-egMPWAhVS3mMKHU9UCwcQ7AkIRAampbiw=1586ampbih=689imgrc=61tjGAQ-3FBRLMampspf=1506434089860

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Beyond Boyerrsquos Categories Digital Scholarship

Definition

bull The use of digital evidence methods of inquiry research publication and preservation to achieve scholarly and research goals

bull An open model for scholarly communication

Rumsey A ldquoNew-model scholarly communication Road map for changerdquo Scholarly Communication Institute 9 July 2011 University of Virginia Library

Examples

bull Blogscommentaries as communication in virtual spaces

bull Open Education Resources

bull Data visualization and manipulation

bull Metadata generation

bull Digital publishing

Your Examples of Scholarship

After reviewing this list let us know some specific examples of scholarship in Continuing Professional Development happening in your organization Are theyDiscoveryResearch IntegrationSynthesisApplicationPracticeTeachingEngagementDigital

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Why stimulate faculty interest and expertise

To help them think act teach learn and act differently

A Tale of Two Centuries

httpwwwtheartstoryorgartist-orozco-jose-

clemente-artworkshtm

Julio Frenk MD MPH PhDJose Clemente Orozco

httpswwwgooglecomsearchq=julio+frenk+md+photoamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwjDv5-egMPWAhVS3mMKHU9UCwcQ7AkIRAampbiw=1586ampbih=689imgrc=61tjGAQ-3FBRLMampspf=1506434089860

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Your Examples of Scholarship

After reviewing this list let us know some specific examples of scholarship in Continuing Professional Development happening in your organization Are theyDiscoveryResearch IntegrationSynthesisApplicationPracticeTeachingEngagementDigital

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Why stimulate faculty interest and expertise

To help them think act teach learn and act differently

A Tale of Two Centuries

httpwwwtheartstoryorgartist-orozco-jose-

clemente-artworkshtm

Julio Frenk MD MPH PhDJose Clemente Orozco

httpswwwgooglecomsearchq=julio+frenk+md+photoamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwjDv5-egMPWAhVS3mMKHU9UCwcQ7AkIRAampbiw=1586ampbih=689imgrc=61tjGAQ-3FBRLMampspf=1506434089860

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Why stimulate faculty interest and expertise

To help them think act teach learn and act differently

A Tale of Two Centuries

httpwwwtheartstoryorgartist-orozco-jose-

clemente-artworkshtm

Julio Frenk MD MPH PhDJose Clemente Orozco

httpswwwgooglecomsearchq=julio+frenk+md+photoamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwjDv5-egMPWAhVS3mMKHU9UCwcQ7AkIRAampbiw=1586ampbih=689imgrc=61tjGAQ-3FBRLMampspf=1506434089860

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Why stimulate faculty interest and expertise

To help them think act teach learn and act differently

A Tale of Two Centuries

httpwwwtheartstoryorgartist-orozco-jose-

clemente-artworkshtm

Julio Frenk MD MPH PhDJose Clemente Orozco

httpswwwgooglecomsearchq=julio+frenk+md+photoamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwjDv5-egMPWAhVS3mMKHU9UCwcQ7AkIRAampbiw=1586ampbih=689imgrc=61tjGAQ-3FBRLMampspf=1506434089860

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

A Tale of Two Centuries

httpwwwtheartstoryorgartist-orozco-jose-

clemente-artworkshtm

Julio Frenk MD MPH PhDJose Clemente Orozco

httpswwwgooglecomsearchq=julio+frenk+md+photoamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwjDv5-egMPWAhVS3mMKHU9UCwcQ7AkIRAampbiw=1586ampbih=689imgrc=61tjGAQ-3FBRLMampspf=1506434089860

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Flexner Welch-Rose and Goldmark

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf page 1925

Goldmark J The Committee for the Study of Nursing Education

Nursing and nursing education in the United States New York The Rockefeller Foundation 1923 16

Flexner A Medical education in the United States and Canada a report to the Carnegie Foundation for the Advancement of Teaching New York The Carnegie Foundation for the Advancement of

Teaching 1910

Welch WH Rose W Institute of Hygiene a report to the General

Education Board of Rockefeller Foundation New York The

Rockefeller Foundation 1915

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Jose Clemente Orozco Gods of the Modern World 1932-1934

Gods of the Modern World OrozcoLadd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Scholarship

Add Orozco image

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Faculty

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Add Orozco image

Knowledge

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Dissemination

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Delivery of New Knowledge

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key PointsNew ldquoinfections environmental and behavioral risksrdquo that ldquothreaten [the] health security of allrdquo

Many of the worldrsquos 8B people are ldquotrapped in the in health conditions of a century earlierrdquo

Systemic reasons exist why the education of health professionals has not kept pace with the worldrsquos health challenges

1 Mismatch of competencies to patient and population needs

2 Persistent gender stratification of professional status

3 Predominant hospital orientation at the expense of primary care

4 Weak leadership to improve health system performance

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Julio Frenk and International Medical Education Thought Leaders 2010 Lancet Article

Key Points

Called for a redesign of health professions education across the continuum including CMECPD is required to match the work of Flexner (Medicine) Welch-Rose (Public Health) and Goldmark (Nursing) in the early 20th Century

Demanded a ldquonew century of transformative professional educationrdquo to create a more ldquoequitable better performing health systemhellipwith consequent benefits for patients and populations everywhere in our interdependent worldrdquo

Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

Welch WH Rose W Institute of hygiene A report to the general education board of rockefeller foundation New York The Rockefeller Foundation 1915

Goldmark J Committee for the Study of Nursing Education Nursing and nursing education in the united states Report of the committee for the study of nursing New York The Rockefeller Foundation 1923 16

httpwwwthelancetcompdfsjournalslancetPIIS0140-6736(10)61854-5pdf

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Two Cases Barriers amp Solutions

bull Dr Chavez is a 32 year old nephrologist interested in preventing end-stage renal disease He has coordinated several courses over the past 5 years in ESRD but shows no interest in carrying his interests to generate research or approach scholarship in this area

bull Is he a lost cause

bull The CPD team at your institution is very efficient generates many courses is interested in new techniques such as social media Yoursquove tried to get them interested in a journal club (with pizza last week) but many are not interested

bull What can you think of to stimulate their interest

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Wersquore busy enoughBarriers and (some) solutions

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Wersquore busy enough Barriers and enablers in CPD scholarship

The Barriers

NO TIME

I have no research training in this area

Buthellipmy field is cardiovascular

disease prevention oral

surgery left big toe disease

Therersquos educational

research Who knew

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Eight steps to changeKotterrsquos change management tips

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Seven steps to developing a scholarly approach to CPD

1 Personalize the argument to your audience whatrsquos in it for them Why undertake scholarship

2 Disseminate the argument to a larger audience

3 Create a burning platform a sense of urgency

4 Planstrategize for scholarship

5 Think of success metrics

6 Createmobilize resources

7 Go for an easy win

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Think Differently

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Think Differently Adopt a new perspective

WHATrsquos OUT

Objectivist Myth of Knowing one expert imparts knowledge to amateurs who have little or no knowledge (Palmer)

WHATrsquos IN

The Community of Truth a community of knowers and learners co-produce learning and knowledge (Palmer)

Collaboration across disciplines professions and the continuum of learning

Collective Competence of individual in teams

Patients as partners in the co-production of knowledge and care (Batalden)

Mateo Romero Praying for Rain

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=Mateo+Romero+artampoq=Mateo+Romero+artampgs_l=psy-ab12035286426500446251616000014822170j16160dummy_maps_web_fallback01164psy-ab01622070i67k1j0i24k1j0i30k10qCtEfNJZbQUimgrc=8nBzI4gxp9SvtMampspf=1506620234221

Palmer P The Courage to Teach Exploring the inner landscape of a teacherrsquos life) Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Teach and LearnDifferently

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Teach and Learn Differently Teaching

Time re-conceptualized

Interdisciplinary inter-professional students

Theory- and evidence-based

Psychologically safe

Technology enhanced

Learning

Co-Learning facultyteachers and studentsresidents together

In-practice in workplace not in classrooms

httpswwwgooglecomsearchq=famous+african+art+paintingsamptbm=ischamptbs=rimgCdr0MXZtb8N2IjhXPoMBqgZvAyfprWiLYOkq14IE2YYddZenf9SqwYK4H8uXDNFs31f3UrU9XxU7mENjSt5KsOBRkCoSCVc-gwGqBm8DEUZdVzrKg_1-nKhIJJ-mtaItg6SoRPt4dhLb5uEAqEgnXggTZhh11lxG1ytpL-P7y8CoSCad_11KrBgrgfEY3zDQVraRvWKhIJy5cM0WzfV_1cRGD5FwicRuS4qEglStT1fFTuYQxHlFwl-vV57TioSCWNK3kqw4FGQEaYbElstLHdyamptbo=uampsa=Xampved=0ahUKEwi24bO0vMjWAhWThRoKHdLzDWEQ9C8IHAampbiw=1920ampbih=1047ampdpr=1imgrc=Vz6DAaoGbwMQOMampspf=1506622033265

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Act Differently

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Act Differently Proceed with caution but make progress in spite of known and unknown threats

Sweat the Big Stuffhellip

Create a moral imperative that involves patient outcomes

Change the Culture deconstruct strict hierarchies related to gender race and economic status

Improve the Leadership of self team organization and system teach leadership across the health professions education continuum and professionshellipin IP teams httpswwwgooglecomimgresimgurl=httpsuploadwikimediaorgwikipediaen774PicassoGuernicajpgampimgrefurl=httpsenwikipediaorg

wikiGuernica_(Picasso)amph=283ampw=631amptbnid=HMnm9cztiGO_sMamptbnh=89amptbnw=200ampusg=__4Ayj_psQMXhmCl0q1y5ZBB5eK3k=ampvet=10ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQiampdocid=Myq7sRx9EgmH7Mampitg=1ampsa=Xampved=0ahUKEwjG_Z2OrcjWAhWIq1QKHcJLAsAQ_B0IowEwFQampei=PSrNWYbrGIjX0gLCl4mADA

Guernica Picasso

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Act Differently

Sweat the Small Stuffhellip

Move beyond basic evaluation to assessment

Incent all Scholarship teaching research integration dissemination engagement digitalelectronic

Invest in education outcomes researchers and their research

Disseminate all learnings

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Act Differently

Take care of yourself

Support Professional Identity Formation Reflection and clarification of professional identity essential over lifetime of practice

Promote Self-Carecritical to promote wellness and joy and to avoid dyscompetence

Encourage Life Long Learning

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Solutions Davis and Rayburn

Four Pillars

Health system and CPD enterprise must acknowledge the importance of each other and work together conscientiously

Profound re-imagination of what it means to be a faculty member

Re-engineer (or abandon) current tools of CMECPD

External pressures ndash CME Clinical Learning Environment Reviews

Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Solutions WiljerPractical Considerations

bull Build scholarship pathwaysbull Identify system problemsbull Establish appropriate partnershipsbull Co-create solutions

bull Identify Scholarship Opportunitiesbull Framing the questionbull Understanding the needsbull Contextualizing the workbull Building frameworks

bull Evaluation vs Researchbull Creating a moral imperativebull Moving beyond basic evaluationbull Disseminate all learnings

Mode-Gakuen Spiral Towers Nagoya Japan

Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

httpswwwgooglecomsearchbiw=1920ampbih=1047amptbm=ischampsa=1ampq=great+architecture+photo+japanampoq=great+architecture+photo+japanampgs_l=psy-ab1285097863340883396600001245500j550dummy_maps_web_fallback01164psy-ab1000qjHH9s6jNPoimgrc=JPuK6XmDHgjImMampspf=1506626244706

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Olson Nurture Scholarly CPD Practitioners

Scholarly practitionerSomeone who mediates between professional practice and the universe of scholarly scientific and academic knowledge and discourseSomeone who sees practice as part of the larger enterprise of knowledge generation and critical reflection

To the extent that this practical knowledge can be more systematically produced captured and disseminated (ie made more scholarly) practitioners can accelerate the value that CMECPD can contribute to health care

Mediate ndash ldquotwo-way streetrdquo drawing from and contributing to the ldquoknowingrdquo base of CMECPD

Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Objectives

After participating in this activity you should be able to describe and discuss

1 Scholarship definitions for CMECPD

2 Reasons to stimulate faculty interest and expertise in the study impact and improvement in CPD scholarship at local and national levels

3 Case Studies on barriers and solutions

4 Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

46

Resources

Addresses how to provide better education to produce better clinical practice and improved health care outcomes

EDITORSWilliam Rayburn MD MBADavid A Davis MDMary G Turco EdD

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Resources

Research Chapter Appendix with Research Resources

Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

THE JOURNAL of CONTINUING EDUCATION in the HEALTH PROFESSIONS (JCEHP)

Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Take Home Points

bull Itrsquos time to help faculty build a scholarly and outcomes oriented interest in CPD scholarshipresearch

bull Enable all forms of scholarship Discovery Integration Application Teaching Engagement and Digital

bull Articulate reasons and imperatives

bull Stimulate faculty to engage in a profound re-imagination of what it means to be a faculty member - to think teach learn and act differently

bull Address barriers and provide solutions with awareness of pillars and practical considerations

bull Enable practitioners too

bull Provide resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Future Directions Better Education Better Patient Outcomes

Mateo Romero The Next Evolution

httpswwwgooglecomsearchq=mateo+romero+artist+artworkamptbm=ischamptbo=uampsource=univampsa=Xampved=0ahUKEwiG_pGZ4MjWAhUBwmMKHTLBD1oQ7AkIQAampbiw=1920ampbih=1047imgrc=xtG9CAkiuLfLTMampspf=1506631634669

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Questions Ideas and Discussion

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Appreciation

bull Don Moore PhD

bull Vivian Ladd

bull Curtis Olson PhD

bull David Wiljer PhD

bull Betsy Williams PhD

bull Dillon Welindt

bull Joseph McNabb PhD

bull Nancy Pawlyshyn PhD

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

Contact Information

Dave Davis

drdavedavisgmailcom

davedavismbruacae

Mary Turco

MaryGTurcohitchcockorg

MaryGTurcodartmouthedu

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources

bull Batalden P Foreword in Continuing Professional Development in Medicine and Healthcare Better Education Better Patient Outcomes Rayburn WF Turco MT Davis DA Eds Philadelphia Wolters Kluwer Lippincott 2018 xiv

bull Boyer E (Carnegie Foundation) address to the American Academy of Arts and Sciences (1995) httpswwwjstororgstable3824459seq=16page_scan_tab_contents

bull Boyer E The Scholarship of Engagement Bulletin of the American Academy of Arts and Sciences American Academy of Arts amp Sciences Vol 49 No 7 (Apr1996) pp 18-33 httpwwwjstororgstable3824459 Accessed 28-09-2017 1350 UTC

bull Davis DA Rayburn WF Introduction Integrating Continuing Professional Development into with Health System Change in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 xxv-xxx

bull Flexner A Pritchet H Henry S Medical education in the united states and canada bulletin number four (the flexner report) New York (NY) The Carnegie Foundation for the Advancement of Teaching 1910

bull Frenk J Chen L Bhutta ZA et al Health professionals for a new century Transforming education to strengthen health systems in an interdependent world Lancet 2010 376(9756)1923-1958

bull Goldmark J Committee for the Study of Nursing Education Goldmark JC Nursing and nursing education in the united states Report of the committee for the study of nursing e

bull Kotter JP Leading Change Why Transformation Efforts Fail Harvard Business Review Classics India Harvard Business School Publishing 2010

bull Ladd V ldquoA Closer Lookrdquo (pamphlet) Hood Museum of Art Hanover Dartmouth College 2013 httphoodmuseumdartmouthedupublicationscloser-look-gods-modern-world-epic-american-civilization-jose-clemente-orozco

bull McNabb J Pawlyshyn N Defining-Scholarship-with-Boyers-Four-Areas-of-Scholarship-Explored-and-the-New-Digital-Scholarship-A-Faculty-Conversationpdf Northeastern University Online Accessed 2014

bull Moore D Scholarly Practitioners in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Olson CA On the Need for Scholarly Practitioners in CPD JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 31(3)137ndash139 2011

bull Olson CA Williams BW Principles of Effective Research in Continuing Professional Development in the Health Professions in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 363-384

bull Rayburn WF Turco MG and Davis DA Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Philadelphia PA Wolters Kluwer 2018

bull Welch WH Rose W Institute of hygiene A report to the general education board of Rockefeller Foundation New York The Rockefeller Foundation 1915

bull Wiljer D Muses of Scholarship in CPD (presentation) SACME 40th Annual Meeting Scottsdale AZ 2017 05172017

bull Williams BW Welindt D Olson CA Educational Research Relevant Data bases Web Sites Organizations Funding Sources Certificate Programs Books and Articles (Appendix C) in Continuing Professional Development in Medicine and Health Care Better Education Better Patient Outcomes Rayburn WF Turco MG and Davis DA (Eds) Philadelphia PA Wolters Kluwer 2018 413-432

References and Resources